Organization
RIVERSIDE EMERGENCY PHYSICIANS, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DERIK K. KING MD, FACEP (MANAGING PARTNER)
(866) 916-5259
Entity
Organization
Contact information
Practice address
310 S MCCASKEY RD, WILLIAMSTON, NC 27892-2150
(866) 916-5259
(231) 922-4030
Mailing address
PO BOX 17695, BALTIMORE, MD 21297-1695
(866) 916-5259
(231) 922-4030
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2009-00436
NC
Other
Enumeration date
09/11/2013
Last updated
11/22/2013
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